Covecrest Registration

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CAMPER INFORMATION
CAMPER NAME REQUIRED Please fill out this field. Please enter valid data.
CELL NUMBER Please enter valid data.
EMAIL ADDRESS REQUIRED Please fill out this field. Please enter valid data.
CURRENT GRADE REQUIRED Please fill out this field. Please enter valid data.
SCHOOL REQUIRED Please fill out this field. Please enter valid data.
CHURCH PARISH REQUIRED Please fill out this field. Please enter valid data.
GENDER REQUIRED FEMALE MALE Please fill out this field.
TSHIRT SIZE (ALL ADULT SIZES) REQUIRED XS S M L XL XXL Please fill out this field.
PARENT INFORMATION
FATHER'S NAME REQUIRED Please fill out this field. Please enter valid data.
PHONE NUMBER REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
MOTHER'S NAME REQUIRED Please fill out this field. Please enter valid data.
PHONE NUMBER REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Are you a registered parishioner of St. Rita Church Parish? REQUIRED YES NO Please fill out this field.
Is your teen a registered member of the St. Rita Youth Group? (If unsure, please call the office) REQUIRED YES NO Please fill out this field.
* ALL campers must be registered members of SRYouth prior to completing registration. Youth group registration can be completed anytime online at www.strita.org, under the 'Learn and Grow' tab. Please see other requirements.
Disclosures and Agreements

By clicking below, I understand that I am agreeing to the following disclosures and agreements.
Please check the box next to each statement to agree to the disclosures: REQUIRED I understand that my teen must be a registered member of the St. Rita Youth Group in order to reserve one of the limited spots for Covecrest. I understand that my teen is not guaranteed a spot until they are fully registered for St. Rita Youth Group. (You may register your child for youth group anytime by visiting www.strita.org under the "Learn and Grow" tab.) I understand that every registered camper is required to attend a minimum of ten (10) Sunday night youth group gatherings before May 1, 2023. I understand that my deposit of $100.00 is nonrefundable and that my child's camp registration is not complete until the deposit has been received by the church office. I understand that payments towards my teen's camp tuition are due according to the payment schedule provided. The camp tuition amount of $900.00 is due in full no later than May 1, 2023. I understand that 50% of all camp tuition (not including the nonrefundable deposit) is nonrefundable after May 1, 2023. I understand that all camp tuition paid is nonrefundable after June 1, 2023. Please fill out this field.
Questions? Contact Kathryn Velotta with any questions you may have.
Email: youth@strita.org
Call/Text: (318) 623-5337

Payments can be made once you hit the submit button below,
call or come by the office and pay by credit card,
check, or cash.
You can also drop you payment in the collection
basket at church in a clearly marked envelope.

Submit

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